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General NPI Number Information
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NPI Number | 1255599205
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Entity Type | Organization
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Legal Business Name | DOUGLAS A. GOLDBERG, M.D., P.C.
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Dates
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Enumeration Date | 05/27/2008
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Last Update Date | 09/27/2014
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Provider Practice Location Address
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Address Line | 1 EXPRESSWAY PLZ SUITE 220
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City | ROSLYN HEIGHTS
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State | NY
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Zip | 11577-2047
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Country | US
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Telephone | 516-299-9589
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Fax | 516-723-9540
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Provider Business Mailing Address
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Address Line | 1 EXPRESSWAY PLZ SUITE 220
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City | ROSLYN HEIGHTS
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State | NY
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Zip | 11577-2047
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Country | US
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Telephone | 516-299-9589
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Fax | 516-723-9540
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | DR. DOUGLAS ALAN GOLDBERG
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Credential | M.D.
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Telephone | 516-299-9589
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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